Oral & Maxillofacial Surgery Associates PA

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

ORAL & MAXILLOFACIAL SURGERY ASSOCIATES PA

Practice address

20 Long Creek Dr
South Portland, ME 04106-2425

Phone

(207) 772-4063

NPI assigned

Oct 18, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Mark D Zajkowski, DDS, MD MBA, FACSNPI 1366432189

Title

Partner/Practice Owner

Phone

(207) 772-4063

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Oral Surgery Associates PA Doing business as

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark D Zajkowski, DDS,MD

  • Oral and Maxillofacial Surgery (Dentist)
  • South Portland, ME
  • NPI 1366432189
  NPD (past) Authorized official
• Matthew Jacobsen, DMD, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • South Portland, ME
  • NPI 1568453108
  NPD (past)
• Matthew E Lawler, DMD

  • Oral & Maxillofacial Surgery (D.M.D.)
  • South Portland, ME
  • NPI 1649534116
  NPD (past)
• Killian David Maccarthy, DMD MD

  • Oral and Maxillofacial Surgery (Dentist)
  • South Portland, ME
  • NPI 1356322531
  NPD (past)
• David J Moyer, DDS,MD

  • Oral and Maxillofacial Surgery (Dentist)
  • South Portland, ME
  • NPI 1881684587
  NPD (past)
• Gregory V Sarka, DDS,MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Portland, ME
  • NPI 1043200868
  NPD (past)
• Brian S Shah, DDS, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • St. Petersburg, FL
  • NPI 1104867431
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698796800000",
    "number": "1780765495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 LONG CREEK DR",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041062425",
            "telephone_number": "207-772-4063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 LONG CREEK DR",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041062425",
            "telephone_number": "207-772-4063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORAL & MAXILLOFACIAL SURGERY ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2023-11-01",
        "status": "A",
        "authorized_official_last_name": "ZAJKOWSKI",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PARTNER/PRACTICE OWNER",
        "authorized_official_telephone_number": "207-772-4063",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MD MBA, FACS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110700000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oral Surgery Associates PA",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Oral Surgery Associates PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kierstin Oliver
• Jonathan Frank Olmes, OD
• Kenneth Olson, LCPC
• Jaymie Elisabeth Oppenheim, LCSW
• Optivacare LLC
• Carole Orem-Hough, PH.D.
• James Christopher Ortengren, D.D.S.
• Orthodontic Associates PA
• Russell Ouellett
• Alison Ouellette, P.T., D.P.T.

• Oral and Maxillofacial Surgery (Dentist) in South Portland, ME
• Providers in South Portland, ME by specialty
• Oral and Maxillofacial Surgery (Dentist) in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.